Vascular surgery help needed--AV fistula involved
Posted By: als on 2006-08-11
In Reply to:
Subject: Vascular surgery help needed--AV fistula involved
Hi,
I've got a vascular surgery that I need help on. Most of the things I'm pretty sure of, but would like a seconding ear. TIA
Right wrist "rest"--?? assuming AV fistula.
ANESTHESIA: @@Local with monitored anesthesia s/l--montra--garis bolus 20 cc.
extremity was prepped and draped in a Pfannenstiel fashion. The patient was given a low grade--?? of Ancef
The artery was then carefully dissected out proximally and distally and little side--?? branches were clipped to help obtain hemostasis ofr the anastomosis. The
A pot--?? scissor was then used to form a hood. It had been marked with a marking pen prior to division
Markable--?? dogs were used to obtain control of the artery proximally and distally.
Th vein was sewn to the arteries using a 6-0 pulling suture in a circumferential--?? fashuion.
The wound was enclosed in layers using a 3-0 Vicryl suture in the subcutaneous layer in a running fashion and a 4-0 Vicryl running subventricular--?? closure.
The patient was brought out and monitored in anesthesia care--?? and taken to the recovery room in stable condition.
Sponge, needle, and instrument counts were reported to be correct at the end of the case--??.
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